308534 02/28/17 4 (4,p F
J% l CITY OF CARMEL, INDIANA VENDOR: 365677 CHECK AMOUNT: $*******453.86*
ONE CIVIC SQUARE GORDON FOOD SERVICE, INC
r �; CARMEL, INDIANA 46032 PO BOX 88029 CHECK NUMBER: 308534
v,�, CHICAGO IL 60680-1029 CHECK DATE: 02/28/17
(TON L,O.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 926089970 376.84 FOOD & BEVERAGES
1207 4239040 926090168 77.02 FOOD & BEVERAGES
Prescribed by State Board of Accounts City Form Nol201(Rev.1995)
VOUCHER NO. WARRANT NO.
Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GORDON FOOD SERVICE, INC IN SUM OF$ CITY OF CARMEL
PO BOX 88029 An invoice or bill to be properly itemized must show:kind of sentice,where performed,dates servicel
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CHICAGO, IL 60680-1029
Payee
$376.84
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
926089970 42-390.40 $376.84 1 hereby certify that the attached invoice(s),or 2/9/17 926089970 Banquet Food $376.84
1207 101 1207 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, February 09,2017
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 365677 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GORDON FOOD SERVICE, INC IN SUM OF$ CITY OF CARMEL
PO BOX 88029 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CHICAGO, IL 60680-1029
Payee
$77.02
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Brookshire Golf Course Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
926090168 42-390.40 $77.02 1 hereby certify that the attached invoice(s),or 2/14/17 926090168 Banquet Food $77.02
1207 101 1207 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, February 15,2017
V
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
A/R Inquiries 1-800-968-6490
CLStomer Service 1-800-968-'11611
www.sfs.com ! Fishers
9540 ;Masters Rd
Brookshire Golf Club i Indi�inapolis., IN 46250
12.120 Brookshire Pkwy 317) 845-0712
100133245 11,11VO 1 C C111�
Invcice Number 926089970
I
Invoice Daie 02/09/17
Terr}s: Net 30 gays - I 0/R Inquiries 1-800-968-6490
CLStomer Service 1-800-963-111 fill
;2'I? 29.1 www.gfs.com
Mos,taccioli W/Mt S H,99
598:300 Brookshire Golf Club
__...: .
2 @ 30;70 ` ` 12.120.-Brookshire Pkwu
CHIK BRD PARM O/R Ell .110 Carmel,IN
69813100 100133245
Pasta Spaghetti Ck
8359100 :Envr,ire Number 926090168
2 @ 31 ,9'9 Invcice Date 02/14/17
MEfiiBALL CKC ITALI 63.98 Teres: [,let 30 Days
60715220.
120-1 ,5Z ECC FRENC �!6•99 Brownie Turtle 12x 1939
5802550 6-:1113501
Salad Hearts & Hea 4.99 1a 9.9c,
5730E'11 Variety Pk Cheese 19,5481
11 19.99 8503571
Grzted Parmesan Ch 219,98 GFS Entertan Crack a.29
4'154011 2'184011
Moe:z Cheese Fthr S 11 .99 Disinfecting Wipes 9.110
7809[151
Btr•mlk Ranch Drse 5,49 183•Ii21
Poi N Pan Jewel 1- 7. 1'9
1073511 329-1361
Horuey Mustard Drss 5 `l� Cubed Med Ched Che 3.99
1073611 4714961
French Red Drss 1- 5.919 Cubed Co-Jack Chee 3.99
1073711 471,4E 11
Golden Italian Drs 5. 9 Cheese Cubes Jalap 3,99
10 7:22 11 551:3931
Garlic Mist 1-13 o E .99
TOX 0.00
BALANCE .022
3!4 Slcd Mozz Chees 4.99 xx'f* ANCE 17.
GFSCharge T7.(12
72656,71
Slc:d Provolone Che 11,99 CHANGE O,UO
'f01'f-I_ NUMBER OF ITEMS SOLD 9
72613'321 02/•14. 1 7 '11 :57am 1905 4 193 660SIO
2212 6.49 11111111111.1111111111111111111111111111111111 IN I III
Deluxe Marinara Sa 12,98
1909691 80190500401931702141167
.e I? 7.99
Dig: Nacho Cheese S 15,9.1 Tctni Due: 77.02
3236161 Cusiolner acknowledges receipt -of' the
Leituce Salad Mixe .3oocs referenced above and promise:: to
2065041 Pau •h7 the order of GFS the total due
r: @ 0.71511 I pur•:auant to-fhe. Customer's Account
Fall Pan 1/3 Size 1, r4 Application Agreement
664711-1
TAS,, _ . _ 0.00
•e* BALANCE 376,li 1
GI=5Charge 376,84 �
CHANGE 0.00
'rOTI"1_ NUMBER. OF ITEMS SOLD °_ 30
AA.- ani a_.��e �t:nnn-- _